Healthcare Provider Details

I. General information

NPI: 1851271886
Provider Name (Legal Business Name): SPECIALTY WOUND SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 09/02/2025
Certification Date: 08/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1609 SW 17TH ST STE 100
OCALA FL
34471-1285
US

IV. Provider business mailing address

20505 CALLA LILY DR
LAND O LAKES FL
34638-3829
US

V. Phone/Fax

Practice location:
  • Phone: 352-619-4781
  • Fax: 352-619-4807
Mailing address:
  • Phone: 813-918-0611
  • Fax: 352-619-4807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. ARTHUR BARLAAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 813-918-0611